NPIMap

Individual provider Active NPI

Elizabeth A Gobber, PA-C

  • Medical Physician Assistant
  • Tecumseh, NE
National Provider Identifier
1063429660
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
602 Issued in NE
Practice address
202 High St Ste 100
Tecumseh, NE 68450-2443
Phone
(402) 335-2811
Fax
(402) 335-2826
NPI assigned
Aug 3, 2006
Last updated
Jan 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 602 NE Primary

Addresses

Primary practice location

202 High St Ste 100
Tecumseh, NE 68450-2443

Mailing address

PO Box 538
Tecumseh, NE 68450-0538
Phone (402) 335-2811

Other practice location 1

620 Main St Ste A
Adams, NE 68301-8277
Phone (402) 988-2188

Other names 1

  • Ms. Elizabeth A Beethe Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JohnsonCountyHospital@jchosp.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041209001054 NE Practitioner - Physician Assistant 8022075118 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
602NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson County Hospital CurrentSince Jul 1, 2007 Accepting new patients
Coffman-Levi Charitable Trust, Inc Past Accepting new patients

Locations

202 High St
Tecumseh, NE 68450
Phone (402) 274-4373

202 High St
Ste 100
Tecumseh, NE 68450
Phone (402) 335-2811

Interoperability endpoints

  • Direct secure messaging: johnsoncountyhospital@jchosp.cernerdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1063429660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538",
            "city": "TECUMSEH",
            "state": "NE",
            "postal_code": "684500538",
            "telephone_number": "402-335-2811",
            "fax_number": "402-335-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 HIGH ST STE 100",
            "city": "TECUMSEH",
            "state": "NE",
            "postal_code": "684502443",
            "telephone_number": "402-335-2811",
            "fax_number": "402-335-2826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Adams",
            "state": "NE",
            "postal_code": "683018277",
            "country_code": "US",
            "telephone_number": "402-988-2188",
            "fax_number": "402-988-2203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOBBER",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JohnsonCountyHospital@jchosp.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "central direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "202 High St Ste 100",
            "city": "Tecumseh",
            "state": "NE",
            "country_code": "US",
            "postal_code": "684502443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BEETHE",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tecumseh, NE

Sources for this page

Verify at the official NPI Registry.